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FLA. IY67 LAWe } ItAMCO FOAM t20r
Fe 71J.Oe
~l~ttm tPl~
~ St Lucie
BeFon me, the undsrsigned authority, ptirsonally appeared.--- -Rnbert_. A Gooper `
the agent tt
who, being duly sworn, says that he is the lienor herein or ~ the attorney f of the liertor heroin, -
..excel...~xrhens....inc _ _ .
- (Lienor s Name)
whose address is-..-.-.-.2120..Q1d.--Dixie-.Highway., Fort Pierce,--.Florida 33450--- ,
(lienor's Addrsss)
and that in pursuatlce of a oontrad with. Trea~ur.a...Co.as.x...Buil.ders......... ,
lienor furnished labor, services or materials consisting oF: (Describe specially fabricated materials separately)
1 Set Custom Mica Kitchen Counter Tops
49~ Sales Tax
Installation of Tops
of a total value oF--Thr-ee hundred fifty Nine. 96/100 dollars~(S 359..96 )
of which there remains unpaid s 359.96 ,for which amount he claims a lien on the following
described roal property in - S t Lucie - County, Florida:
(Describe real property sufficiently for identification, including street and number iF known)-,: -
- {J1 _ -
2386 South East Floresta Drive
Port St Lucie, Florida 33452 _ ~a~~46
Lot #28 ':9 ~ S t~4 : 23
~ Block #787
I Section #18
P
r' . ' _
- - - -
Treasure .Coast Builders.
Owned by _ - .
( Ffe further says that iienor Furnished the first of said labor, services or materials on
J.d~1,b.a?~[y.....l9.th........, 19..79, and the last of the same on -..---.January-. 19th., 19 79, and (if the lien
is claimed by one not in privity with the owner) that the lienor served his no?ice to owner on
~ .January ..22nd_ y -
19.79, b U S Postal Service.
(Method of Se?vice)
-
EXCEL...KITGI3ENS ING
Lienor
4
u
B ~
ti • _ .
Agent or Alto y
E`
Sworn to and subscribed before ms this--..-...-...Sth ............................day of March __..:..-19.?~.-, }
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!A'tARY ~lgllC STAB ~tO~1~Jl AT.~/l~-;
tKY CO~MMISSIOM f fD
s 77us I/!~/ri//A('1!/ /~nf~orr,/ ht•: Robert A Cooper
- loaot~ ttttw aEt~gt.~.~t~ael~ttyi~~ ' 7" ~
P ~ Box. 1296
Fort Pierce Florida 33450 - d?
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